#(token)
<div class="layui-row layui-col-space1 task-row">
	#@colStart("姓名",6)
	<input type="text" class="layui-input"  name="iCustomerInfo.customername" value="#(iCustomerInfo.customername??)" lay-verType='tips'lay-verify="" maxlength="100"/>
	#@colEnd()
	#@colStart('性别',6)
	<input name="sysUser.sex" type="radio" value="1" title="男"
		   #if(iCustomerInfo.gender??==1||sysUser==null)checked="checked"#end/>
	<input name="sysUser.sex" type="radio" value="0"  title="女"
		   #if(iCustomerInfo.gender??==0)checked="checked"#end/>
	#@colEnd()
</div>
<div class="layui-row layui-col-space1 task-row">
	#@colStart("年龄",6)
	<input type="text" class="layui-input"  name="iCustomerInfo.age" value="#(iCustomerInfo.age??)" lay-verType='tips'lay-verify="" maxlength="100"/>
	#@colEnd()
	#@colStart("联系方式",6)
	<input pattern="^1[3-9]\d{9}$" required title="请输入有效的中国大陆手机号码"
		   type="text" class="layui-input"  name="iCustomerInfo.phonenum" value="#(iCustomerInfo.phonenum??)" lay-verType='tips'lay-verify="" maxlength="100"/>
	#@colEnd()
</div>
<div class="layui-row layui-col-space1 task-row">
	#@colStart("证件号",6)
	<input pattern="^[1-9]\d{5}(18|19|20)?\d{2}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])\d{3}(\d|[Xx])$" required title="请输入有效的中国大陆居民身份证号码"
		   type="text" class="layui-input"  name="iCustomerInfo.idcard" value="#(iCustomerInfo.idcard??)" lay-verType='tips'lay-verify="" maxlength="100"/>
	#@colEnd()
</div>
<input type="hidden" class="layui-input"  name="iCustomerInfo.id" value="#(iCustomerInfo.id??)" />

#@submitButton()
